Registered Nurse Case Manager

Job Description

Position

Purpose:

Perform care management duties to assess, plan, and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
* 100% telephonic

• Assess the member’s current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member’s needs and promote desired outcomes
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non‑medical staff as necessary to meet the complete medical socio economic needs of clients
• Provide patient and provider education

• RN, active in the state of Florida
• 2+ year’s clinical nursing experience coming from an acute care setting
• Must have CM telephonic experience; can be any amount
• 2 years of Case Management Experience
• At least 1 year of experience coming from a Managed Care Setting strongly preferred
• Experience with medical decision support Interqual or Milliman software preferred

Interested in being considered?

If you are interested in applying to this position, please contact Alex Bennewitz at  and/or click the Green I’m Interested button to email your resume.